Infectious complications and conservative treatment of totally implantable venous access devices in children with cancer
Besides their complications, totally implantable venous access devices (TIVADs) increase the quality of life in children with cancer. The aim of this study was analysis of infectious complications and results of conservative management in TIVADs. Three hundred and one catheters were implanted...
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| Format: | Article |
| Language: | English |
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Hacettepe University Institute of Child Health
2013-04-01
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| Series: | The Turkish Journal of Pediatrics |
| Online Access: | https://turkjpediatr.org/article/view/1475 |
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| author | Nalan Yazıcı Canan Akyüz Bilgehan Yalçın Ali Varan Tezer Kutluk Münevver Büyükpamukçu |
| author_facet | Nalan Yazıcı Canan Akyüz Bilgehan Yalçın Ali Varan Tezer Kutluk Münevver Büyükpamukçu |
| author_sort | Nalan Yazıcı |
| collection | DOAJ |
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Besides their complications, totally implantable venous access devices (TIVADs) increase the quality of life in children with cancer. The aim of this study was analysis of infectious complications and results of conservative management in TIVADs. Three hundred and one catheters were implanted in 283 patients between February 1991 and January 2005. Infectious complications were analyzed retrospectively. Cumulative duration of implantation was 153,757 days. In 140 devices (46.5%), no complication was detected. Total rate of infection was 1.96/1000 catheter days. Types of infections were as follows: catheterrelated bloodstream infections: 190; catheter-related systemic infections: 74; pocket infections: 19, exit site infections: 14; and tunnel infections: 5. Staphylococcus epidermidis and non-albicans candida were the most common isolations. During follow-up, a total of 119 catheters had been removed. Most of them were due to infection (n=42). In conclusion, TIVADs are important in children with cancer who need prolonged intravenous access, so they should be used carefully and managed conservatively in case of complications.
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| format | Article |
| id | doaj-art-e8447023afec45ada9f7b897b1a22c66 |
| institution | OA Journals |
| issn | 0041-4301 2791-6421 |
| language | English |
| publishDate | 2013-04-01 |
| publisher | Hacettepe University Institute of Child Health |
| record_format | Article |
| series | The Turkish Journal of Pediatrics |
| spelling | doaj-art-e8447023afec45ada9f7b897b1a22c662025-08-20T02:01:47ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212013-04-01552Infectious complications and conservative treatment of totally implantable venous access devices in children with cancerNalan Yazıcı0Canan AkyüzBilgehan YalçınAli VaranTezer KutlukMünevver BüyükpamukçuDepartment of Pediatric Oncology, Adana Medical and Research Center, Başkent University Faculty of Medicine, Adana, Turkey. nalanyaz@yahoo.com. Besides their complications, totally implantable venous access devices (TIVADs) increase the quality of life in children with cancer. The aim of this study was analysis of infectious complications and results of conservative management in TIVADs. Three hundred and one catheters were implanted in 283 patients between February 1991 and January 2005. Infectious complications were analyzed retrospectively. Cumulative duration of implantation was 153,757 days. In 140 devices (46.5%), no complication was detected. Total rate of infection was 1.96/1000 catheter days. Types of infections were as follows: catheterrelated bloodstream infections: 190; catheter-related systemic infections: 74; pocket infections: 19, exit site infections: 14; and tunnel infections: 5. Staphylococcus epidermidis and non-albicans candida were the most common isolations. During follow-up, a total of 119 catheters had been removed. Most of them were due to infection (n=42). In conclusion, TIVADs are important in children with cancer who need prolonged intravenous access, so they should be used carefully and managed conservatively in case of complications. https://turkjpediatr.org/article/view/1475 |
| spellingShingle | Nalan Yazıcı Canan Akyüz Bilgehan Yalçın Ali Varan Tezer Kutluk Münevver Büyükpamukçu Infectious complications and conservative treatment of totally implantable venous access devices in children with cancer The Turkish Journal of Pediatrics |
| title | Infectious complications and conservative treatment of totally implantable venous access devices in children with cancer |
| title_full | Infectious complications and conservative treatment of totally implantable venous access devices in children with cancer |
| title_fullStr | Infectious complications and conservative treatment of totally implantable venous access devices in children with cancer |
| title_full_unstemmed | Infectious complications and conservative treatment of totally implantable venous access devices in children with cancer |
| title_short | Infectious complications and conservative treatment of totally implantable venous access devices in children with cancer |
| title_sort | infectious complications and conservative treatment of totally implantable venous access devices in children with cancer |
| url | https://turkjpediatr.org/article/view/1475 |
| work_keys_str_mv | AT nalanyazıcı infectiouscomplicationsandconservativetreatmentoftotallyimplantablevenousaccessdevicesinchildrenwithcancer AT cananakyuz infectiouscomplicationsandconservativetreatmentoftotallyimplantablevenousaccessdevicesinchildrenwithcancer AT bilgehanyalcın infectiouscomplicationsandconservativetreatmentoftotallyimplantablevenousaccessdevicesinchildrenwithcancer AT alivaran infectiouscomplicationsandconservativetreatmentoftotallyimplantablevenousaccessdevicesinchildrenwithcancer AT tezerkutluk infectiouscomplicationsandconservativetreatmentoftotallyimplantablevenousaccessdevicesinchildrenwithcancer AT munevverbuyukpamukcu infectiouscomplicationsandconservativetreatmentoftotallyimplantablevenousaccessdevicesinchildrenwithcancer |